Three different ways to find Out How Much Your Health Insurance Company Will Reimburse:
1. Consult your health insurance brochure to see if it lists "out of network" coverage.
2. Call your health insurance company, either before or after your first visit, and have the following conversation:
a) Tell the person with whom you are speaking that you are seeing an “out-of-network” psychiatrist.
b) Ask how much you will be reimburse for CPT (Current Procedural Terminology) Code 90792 (initial consultation) and follow up
codes such as 99212, 99213 or 99214
c) Ask how much your annual deductible will be
d) Ask how many certified visits you have per calendar year
3. Submit an invoice, see how much reimbursement you receive, and read the enclosed E.O.B (Explanation of Benefits). Most health insurance companies are required by law either to pay the claim, or tell you why they are not going to pay, within 30 days, you may call your health insurance company and ask about the “status” of your claim.
1. Consult your health insurance brochure to see if it lists "out of network" coverage.
2. Call your health insurance company, either before or after your first visit, and have the following conversation:
a) Tell the person with whom you are speaking that you are seeing an “out-of-network” psychiatrist.
b) Ask how much you will be reimburse for CPT (Current Procedural Terminology) Code 90792 (initial consultation) and follow up
codes such as 99212, 99213 or 99214
c) Ask how much your annual deductible will be
d) Ask how many certified visits you have per calendar year
3. Submit an invoice, see how much reimbursement you receive, and read the enclosed E.O.B (Explanation of Benefits). Most health insurance companies are required by law either to pay the claim, or tell you why they are not going to pay, within 30 days, you may call your health insurance company and ask about the “status” of your claim.